Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.14 / $265.29 / $272.12	Facility		$246.14	$265.29	$272.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.11 / $260.36 / $385.00	Professional		$228.11	$260.36	$385.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.44 / $227.44 / $242.67	Professional		$227.44	$227.44	$242.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $293.00 / $876.00	Facility		$203.00	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.52 / $274.31 / $515.10	Professional		$222.52	$274.31	$515.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $202.83 / $289.75 / $691.45	Professional		$202.83	$289.75	$691.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.39 / $335.02 / $690.09	Professional		$262.39	$335.02	$690.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $229.16 / $286.93 / $387.36	Professional		$229.16	$286.93	$387.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.93 / $280.70 / $515.86	Professional		$227.93	$280.70	$515.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,130.83 / $1,230.06 / $1,230.06	Facility		$1,130.83	$1,230.06	$1,230.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,563.65 / $1,596.18 / $2,084.25	Professional		$1,563.65	$1,596.18	$2,084.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $362.40	Professional		$32.34	$32.34	$362.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.18 / $306.64 / $418.89	Facility		$244.18	$306.64	$418.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $268.68 / $374.67 / $675.67	Professional		$268.68	$374.67	$675.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $836.79 / $836.79 / $856.02	Professional		$836.79	$836.79	$856.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $226.23 / $260.77 / $343.74	Professional		$226.23	$260.77	$343.74
United Facility/Professional Facility Modifier Low / Median / High Price $288.66 / $288.66 / $288.66	Facility		$288.66	$288.66	$288.66
United Facility/Professional Professional Modifier Low / Median / High Price $209.72 / $288.64 / $750.02	Professional		$209.72	$288.64	$750.02